Clinical Breast Tomosynthesis

A Case-Based Approach

Lonie Salkowski (Autor)

Buch | Hardcover

300 Seiten

2017
Thieme Medical Publishers (Verlag)
978-1-62623-208-2 (ISBN)

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Digital breast tomosynthesis (DBT), popularly called "3D mammography" is a state-of-the-art breast imaging technology that provides the ability to view inside the breast, layer by layer. Advantages of DBT include elimination of superimposed tissue, improved detection of otherwise hidden lesions, and significantly higher cancer detection rates compared to conventional mammography.

Although it is increasingly being implemented in imaging centers, hands-on clinical learning tools have been lacking - until now. Written by renowned breast imaging specialists, this multimedia textbook is the most definitive DBT reference available. The first section is dedicated to DBT fundamentals, including physics, reconstruction methods, acquisition parameters, and patient dose and data size considerations. The next two sections are case-based clinical practice presentations, organized by DBT screening and diagnostic components.

Key Features:

The use of 3D breast imaging to detect and differentiate malignancies from normal and benign findings
100 case studies include pertinent clinical information, introductory images, and findings labeled on subsequent images with BI-RADS terminology
Full field digital mammography and/or synthetic 2D mammogram images included in all case studies mirror what is typically encountered in DBT breast-imaging programs
Clinical pearls on navigating the technology, interpreting images, making diagnoses, and decisions regarding follow-up studies
Accompanying online videos further elucidate the still images

This remarkable, interactive reference is a must-have for trainee and practicing radiologists and will also benefit mammography technicians. The detailed case studies and videos demonstrate the full utility of DBT as a screening and diagnostic technology in context with mammography, ultrasound, and MRI of the breast.

Part I: Introduction to Clinical Breast Tomosynthesis

1 The Physics of Digital Breast Tomosynthesis

2 BI-RADS Nomenclature for Mammography and Ultrasound

Part II: Cases with Screening Tomosynthesis Evaluation Needing No Further Evaluation

3 Fat-Containing Mass on Baseline Mammogram

4 Radiolucent Lesions with Calcifications

5 Architectural Distortion

6 Architectural Distortion on a Full-Field Digital Mammogram

7 No Skin Edge

8 Grouped Calcifications

9 Scattered Masses

10 Treated Breast Cancer

11 "Hairy" Skin Edge

12 Linear Calcifications

13 Multiple Masses

14 Nonpalpable Mass with Mixed Composition

15 Calcifications

16 Architectural Distortion

17 Oval Mass in High-Risk Patient

18 Resolved Clinical Finding

19 Breast Reduction Years Ago

20 Axillary "Calcifications"

21 Nonpalpable Mass

22 Increased Breast Density

23 Possible Architectural Distortion

24 Architectural Distortion

Part III: Cases with Screening Tomosynthesis Evaluation Needing Further Diagnostic Evaluation

25 Mass with Architectural Distortion

26 Developing Asymmetry

27 High-Density Mass

28 Mass on Baseline Mammogram

29 Amorphous Calcifications

30 Obscured Mass within Dense Breast Tissue

31 Mass Only Seen on One View

32 Mass on Baseline Mammogram

33 Architectural Distortion

34 Grouped Amorphous Calcifications

35 Architectural Distortion Only Seen on Tomosynthesis

36 Small Spiculated Mass

37 Mass on High-Risk Screening Mammogram

38 Architectural Distortion Best Seen on Digital Breast Tomosynthesis

39 Focal asymmetry

40 Obscured Mass

41 Subtle Mass

42 Coarse Heterogeneous Calcifications

43 Amorphous Calcifications

44 Developing Asymmetry

45 Focal Asymmetry with Architectural Distortion

46 Circumscribed Mass on Baseline Mammogram

47 Two Areas of Architectural Distortion

48 Architectural Distortion within Dense Breast Tissue

49 Calcifications and Possible Focal Asymmetry

50 Developing Asymmetry

51 Obscured Mass and Architectural Distortion Findings

52 Mass After Reduction Mammoplasty

53 Architectural Distortion

54 Obscured Mass

55 Architectural Distortion

56 Linear Calcifications

57 Developing Asymmetry

58 Enlarging Mass

59 Developing Asymmetry in a Patient with Treated Breast Cancer

Part IV: Cases with Screening and Diagnostic Tomosynthesis Evaluations

60 Circumscribed Mass

61 Developing Asymmetry

Part V: Cases with Diagnostic Tomosynthesis Evaluation Recalled from Conventional Screening Mammogram

62 Possible Focal Asymmetry

63 Architectural Distortion within Dense Breast Tissue

64 Architectural Distortion with Negative Ultrasound

65 Focal Asymmetry with Architectural Distortion

66 Focal Asymmetry-One or Two Lesions

67 Asymmetry on the Craniocaudal View

68 Asymmetry on the Craniocaudal View

69 Small Adjacent Masses

70 Oval Mass at 6 O'Clock

71 Architectural Distortion with Calcifications

72 Focal Asymmetry

73 Architectural Distortion

74 Calcifications with Architectural Distortion

75 Asymmetry on the Craniocaudal View

76 Linear Asymmetry

77 Architectural Distortion

Part VI: Cases with Diagnostic Tomosynthesis Evaluation Presenting with Clinical Indication

78 Right Axillary Palpable Finding and Left Breast Pain

79 Palpable Masses with No Mammographic Correlate

80 Palpable Breast Masses

81 Asymmetric Breast Tissue or Mass

82 New Palpable Finding at Site of a Remote Benign Image-Guided Biopsy

83 Palpable Breast Mass

84 Palpable Mass on First Mammogram

85 Palpable Thickening

86 Right Breast Pain

87 Breast Pain

88 Palpable Axillary Mass

89 Spiculated Retroareolar Mass with Linear Calcifications

Part VII: Cases with Known Cancer Diagnosis Needing Additional Evaluation

90 Oval Mass Seen on Digital Breast Tomosynthesis

91 Retroareolar Extension

92 Regional Calcifications

93 Fine-Linear Branching Calcifications

94 Regional Calcifications

95 Cancer Occult to Imaging

Part VIII: Intervention: Biopsy Using Tomosynthesis or Stereotactic Guidance

96 Introduction to Localization and Biopsy Using Tomosynthesis

97 Developing Asymmetry

98 Spiculated Mass Not Seen on Ultrasound

99 Mass with Indistinct Margins

100 Heterogeneous Calcifications

101 Palpable Spiculated Masses

102 Architectural Distortion

103 Architectural Distortion

Erscheinungsdatum	15.08.2017
Zusatzinfo	750 Abbildungen
Verlagsort	New York
Sprache	englisch
Gewicht	2 g
Einbandart	gebunden
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Onkologie
	Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Computertomographie
	Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Nuklearmedizin
	Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Radiologie
ISBN-10	1-62623-208-3 / 1626232083
ISBN-13	978-1-62623-208-2 / 9781626232082
Zustand	Neuware